Several days earlier, he replied, he had injured himself in the machine shop where he worked and had closed the laceration himself with a heavy duty stapling gun.

She directed me to a patient who had refused to describe his problem other than to say that he “needed a doctor who took care of men’s troubles.” The patient, about 40, was pale.

febrile, and obviously uncomfortable, and had little to say as he gingerly opened his trousers to expose a bit of angry red and black-and-blue scrotal skin.

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